KMID : 0356920100580050490
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Korean Journal of Anesthesiology 2010 Volume.58 No. 5 p.490 ~ p.494
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Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair
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Kim Hye-Young
Kim Tae-Yop Lee Kyu-Chang Lee Myeong-Jong Kim Seong-Hyop Bahn Jong-Min Choi Eun-Kyung Kim Ji-Yeon
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Abstract
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We experienced an extremely rare complication during performance of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair for a 57-year-old healthy man. About 50 minutes after CO2 insufflation, the patient developed tachycardia, hypoxemia, hypercapnia and an increased airway pressure. Right pneumothorax with subcutaneous emphysema was recognized on the emergency chest X-ray and this was successfully treated by chest tube insertion. Anesthesiologists should be aware of the possible occurrence of pneumothorax during laparoscopic TEP hernia repair.
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KEYWORD
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Hernia repair, Laparoscopy, Pneumothorax, Subcutaneous emphysema
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